What are you eating? If you lost the weight and kept it off for nearly 4 years, sounds like it's what you're eating that's the issue, not your tool. If your tool (VSG) is working fine, then you may have developed bad habits you need to re-break. Eat 4 ounces of chicken only, and wait 20 minutes. Are you full? If so, then your tool is working fine...my guess you'll find it is. If you had some other sort of medical issue that revision would cure, that would be one thing. But to actually consider a second major surgery because you put on a couple of pounds seems extreme and drastic, IMHO.

Also, revision surgery won't change where fat deposits itself on your body. Don't have revision for cosmetic reasons, that's just silly. Many people have lipo or other plastic surgery after losing all their weight and keeping it off, plus your body settles over time after huge weight loss, so that may be what you're seeing with the "trouble areas."

With a working tool, it's just a matter of cleaning up your diet, eating protein forward, and getting rid of any nasty bad habits you've picked up. You're tool will always continue to do its job if you do yours. Good luck!

https://www.obesityhelp.com/forums/amos/6046502/5-year-surgi versary-thank-you-oh-friends/

Hello everyone,

I'm so sorry to hear of additional complications with hiatal hernias post VSG, but I suppose this means - we are not alone. Dr. Jossart repaired my hernia on March 2nd. I'm 3 weeks out, and for the first time in a year, ate some chicken last night and did not get sick! I'm still mending, and I'm also reminded by Dr. Jossart and personal experience as I'm recovering to chew super thoroughly and take small bites, eating slowly. This is supposed to help with recovery, but also reduce the reoccurrence of the hernia. Once a hiatal hernia problem, the potential is great for having it again. Something like 15% from what I've read? I forgot what number Dr. Jossart gave me. However, I am hopeful this worked. Although he left the previous hospital group, he is working under Sutter Health organization and still in SF. I recognized him easily from 13 years ago. Anyhow, I know that I need to remain careful about not overdoing super heavy lifting once fully healed, and I will not be able to return to mixed martial arts program I was in, as taking kicks to the chest/belly area, twisting during grappling and MMA and such may not be the best, as it may increase the likelihood of another tear. The crazy heart burn has subsided, I'm off all related medication, minus still taking 1 Pepcid tablet in the mornings while healing. I have questions about how to confirm if my ulcers have healed or are improving, but I am still in my recovery period of 4-6 weeks. So, it is possible to fix this problem without converting to a more severe bariatric surgery, but I think it was worth a try to do just the hernia repair, as it's a better alternative to some of the complications caused by a RNY or other bariatric conversion, as my weight is not dangerously high enough to have those benefits outweighed otherwise. (nothing against anyone who undergoes one of the other surgical options - I'm all for whatever helps someone be healthier and live longer - just noting each of these options come with their own risks and modified maintenance)

Good Morning!
I wrote this blog post for anyone who would like to have a better relationship with food.

Check it out here: https://www.endobariatric.com/weblog/2021/03/17/why-you-shou ldnt-use-food-as-a-reward/

Regards
Dr. Alvarez

Are you actively in therapy? I'd say a call to your therapist is in order, or consider engaging one if you haven't already. This is a great page for support, but we're not good for giving mental health advice.

This isn't usual behaviour and it could get worse if you don't work on it.

Its very easy to get into transfer addictions and eating disorders after this surgery, so best get professional help lined up. Most of us do it if we want to be successful.